Individual provider Active NPI

Bruce Lawrence Saltz, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1174579536
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0056515 Issued in FL
Practice address
4800 N Federal Hwy
E 102
Boca Raton, FL 33431-5188
Phone
(561) 368-8430
Fax
(561) 362-5575
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0056515 FL Primary
Geriatric Psychiatry Physician 2084P0805X ME0056515 FL

Addresses

Primary practice location

4800 N Federal Hwy
E 102
Boca Raton, FL 33431-5188

Mailing address

4800 N Federal Hwy
Suite E - 102
Boca Raton, FL 33431-5188
Phone (561) 368-8430

Other identifiers 3

IdentifierTypeStateIssuer
14784OtherFLBC/BS FL PROVIDER ID NO.
ME0056515OtherFLMEDICAL EXAMINER'S NUMBER
P472483OtherFLOXFORD INS. ID. NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 15, 2017 through Nov 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0056515FLMDGeriatric Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1174579536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "SUITE E - 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-368-8430",
            "fax_number": "561-362-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "E 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-368-8430",
            "fax_number": "561-362-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZ",
        "first_name": "BRUCE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0056515",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME0056515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL PROVIDER ID NO.",
            "identifier": "14784",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EXAMINER'S NUMBER",
            "identifier": "ME0056515",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS. ID. NO.",
            "identifier": "P472483",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.